Access to Healthcare Priority Area

Goals

  1. 30% reduction in hospital readmissions within 30 days of discharge
  2. 30% reduction of those unable to see a doctor because of cost
  3. 30% increase in uninsured residents with a medical home

 

$127 million in charges were attributed to uninsured patients seeking treatment through emergency departments in Spartanburg County in 2012.

 

What is being done?

Healthy Outcomes Program Spartanburg (HOPS) is a pilot program designed to address a particular population as determined by the Department of Health and Human Services (DHHS). This patient population has one or more chronic conditions, is uninsured, and utilizes emergency departments frequently. Hospitals statewide participate in this program, in collaboration with local safety net providers.

 

HOPS officially began Oct.1, 2013, and is managed through AccessHealth Spartanburg. HOPS has a state-determined enrollment target and is not grant-funded. Spartanburg Regional Medical Center and Mary Black Health Systems committed to provide $1 million annually to fund the local program—something unheard of in other communities. In the first year, 500 patients were enrolled in HOPS.

 

Case management is a focus of the program. Six dedicated staff members (three registered nurses, one medical social worker, and two clinical social workers) provide home visits and attend medical and behavioral health appointments to improve health outcomes, and to increase access to medical care and compliance of program participants.

 

Partners include Spartanburg Regional Healthcare System, Mary Black Healthcare System, St. Luke’s Free Medical Clinic, ReGenesis, Department of Mental Health, Spartanburg Alcohol and Drug Commission and West Gate Family Therapy.

 

Is there an example of success?

Jacob,* a 40-year-old man, was enrolled in Healthy Outcomes Program Spartanburg (HOPS) in early summer 2014. He was on medical leave from his job at a local home supply store due to severe depression. His spouse reported that he often stayed in a dark bedroom, sleeping for days at a time.

 

Jacob's HOPS case manager connected him to a medical home through St. Luke’s Free Medical Clinic, as well as with an evaluation at the Department of Mental Health and therapy through West Gate Family Therapy. Since then, he has made much progress, returning to work and his normal social routines. J is dependable in keeping appointments, and expressed that HOPS has "given him his life back."

 

Jacob says he doesn't remember the first month of being in the HOPS program, but he recently told his case manager that his employer is promoting him and providing support for him to be trained in additional responsibilities.

 

*Jacob is not the patient's name.